1. Repetitive physical or mental actions that an individual feels compelled to perform in response to an obsession or according to rigid rules.

2. The mental actions or physical behaviors are intended to prevent or limit distress, or to avoid a feared event or situation. However, the chosen acts are not appropriately connected with the expected event or situation.

Define Obsessions

1. Repeated and persistent thoughts, impulses, or images that cause marked anxiety or distress and are both intrusive and inappropriate.

2. Not simply excessive worries about real-life problems.

3. The individual tries to ignore, suppress, or replace the thoughts, impulses, or images.

4. The individual realizes that the thoughts, impulses, or images come strictly from within their own mind.

Describe Delirium, Dementia, Amnestic and Other Cognitive Disorders

Delirium: consciousness disturbances and cognitive changes that develop in a brief period.

Dementia

: a set of cognitive deficiencies that include memory impairment.

Amnestic disorder

: memory impairment without other cognitive impairment.

Cognitive Disorder Not Otherwise Specified

.

Describe Diagnostic Criteria for Substance-Induced Psychotic Disorder

A. Conspicuous hallucinations or delusions.

B. Either of these:

-- 1. Criterion A symptoms developed during or within a month of Substance Intoxication or Withdrawal.

-- 2. Medication use directly relates to the disturbance.

C. Not better described by a Psychotic Disorder that is not substance induced.

Preoccupation of one or more stereotyped patterns that is abnormal in intensity

Inflexible adherence to specific nonfunctional routines/rituals

Stereotyped motor mannerisms

Preoccupation with parts of objects

Describe the Diagnostic Criteria for Avoidant Personality Disorder

A pervasive pattern of inadequacy, sensitivity, and inhibition, indicated by at least four of the following:

-- 1. Avoids occupational activities involving interpersonal contact.

-- 2. Shuns involvement with people unless sure of being liked.

-- 3. Restrained in intimate relationships.

-- 4. Preoccupied by criticism or social rejection.

-- 5. Inhibition and feelings of inadequacy in new situations.

-- 6. Feels inept, unappealing, or inferior.

-- 7. Avoids personal risks or potentially embarrassing activities.

Describe the Diagnostic Criteria for Borderline Personality Disorder

Pervasive pattern of unstable interpersonal relationships, self-image, affects, and impulsivity as indicated by at least five of the following:

-- 1. Frenzied efforts to avoid abandonment.

-- 2. Vacillating, intense interpersonal relationships.

-- 3. Identity disturbance.

-- 4. Impulsiveness in two self-damaging areas.

-- 5. Repeated suicidal behavior.

-- 6. Affective instability.

-- 7. Chronic feelings of emptiness

-- 8. Inappropriate and intense anger.

-- 9. Paranoid ideation or dissociation.

Describe the Diagnostic Criteria for Brief Psychotic Disorder

A. At leastone of these symptoms:

-- 1. Delusions

-- 2. Hallucinations

-- 3. Disorganized speech

-- 4. Behavior that is grossly disorganized or catatonic

B. Disturbance lasts from 1 day to less than 1 month with return to premorbid levels.

C. Not better described by Mood Disorder With Psychotic Features, Schizoaffective Disorder, or Schizophrenia.

Describe the Diagnostic Criteria for Characteristic (Active-Phase) Symptoms For Schizophrenia

At least two of the following symptoms appear for a significant portion of a one month period:

1. Delusions.

2. Hallucinations.

3. Disorganized speech.

4. Grossly disorganized or catatonic behavior.

5. Negative symptoms.

less than 1 month required if successfully treated

only 1 symptom required if bizarre delusion, or Ah of running commentary or 2+ voices conversing

Describe the Diagnostic Criteria for Conditions Regarding Relationship to a Pervasive Developmental Disorder For Schizophrenia

If there is any history of Autistic Disorder (or some other Pervasive Developmental Disorder), make the additional diagnosis of Schizophrenia only if:

1. Conspicuous delusions or hallucinations are present.

2. Duration is at least one month.

3. Duration is less than one month if successfully treated.

Describe the Diagnostic Criteria for Conduct Disorder

A. A repetitive and persistent pattern of violating major age-appropriate societal norms or the rights of others. Requires at least three symptoms in the past 12 months (at least one in the past 6 months):

-- 1. Aggression to people and animals.

-- 2. Destruction of property.

-- 3. Deceitfulness or theft.

-- 4. Serious violations of rules.

B. Impairment in social, academic, or occupational functioning.

C. For individuals 18 years or older, criteria not met for Antisocial Personality Disorder.

Describe the Diagnostic Criteria for Delusional Disorder

A. Nonbizarre delusions lasting at least 1 month.

B. Item "A" for Schizophrenia never met.

C. Functioning not impaired and behavior not odd or bizarre.

D. If mood episodes occur concurrent with delusions, they have been brief relative to the delusional periods.

E. Not caused by a substance or a general medical condition.'

Describe the Diagnostic Criteria for Dependent Personality Disorder

Extreme need to be taken care of as indicated by at least five of the following:

-- 1. Difficulty in decision-making.

-- 2. Requires others to bear responsibility in major areas of his or her life.

-- 3. Has difficulty disagreeing with others.

-- 4. Difficulties in initiating projects.

-- 5. Goes to lengths to obtain support of others.

-- 6. Uncomfortable or helpless when alone.

-- 7. Urgently needs care and support from a new relationship when a close bond ends.

-- 8. Unrealistic fears about taking care of himself or herself.

Describe the Diagnostic Criteria for Duration Requirements For Schizophrenia

Continuous signs for at least 6 months.

At least 1 month meets item "A" active-phase symptoms.

May include periods of prodromal or residual symptoms

During prodromal or residual periods, signs may include only negative symptoms or at least two item "A" active-phase symptoms (in attenuated form).

Describe the Diagnostic Criteria for Dysthymic Disorder

A. Depressed mood for most of day, for more days than not for at least 2 years.

B. At least two symptoms:

-- 1. appetite change

-- 2. sleep change

-- 3. low energy

-- 4. low self-esteem

-- 5. poor concentration or decision making

-- 6. hopelessness

C. Symptoms in Items A and B never disappear for more than 2 months at a time.

D. No Major Depressive Episode has been present during the first 2 years (or prev. full remission).

E. Has never been a Manic, Mixed or Hypomanic Episode, or a Cyclothymic Disorder.

F. Not solely during a chronic Psychotic Disorder.

G. Not due to a substance or a general medical condition.

H. Distress or impairment in social, occupational, or other important functioning.

Describe the Diagnostic Criteria for Encopresis

A. Repeated release of feces into inappropriate places. Can be involuntary or intentional.

B. Once a month or more, for at least 3 months.

C. At least 4 years old (chronological age or equivalent developmental level).

D. Not due exclusively to a substance or a general medical condition, excepting a mechanism involving constipation.

Describe the Diagnostic Criteria for Enuresis

A. Repeated urination in bed or clothes. Can be involuntary or intentional.

B. Twice a week for at least 3 consecutive months. Or causes distress or impairment in social, occupational, or other important functioning.

C. At least 5 years old (chronologically, or equivalent developmental level).

D. Not due solely to a substance or a general medical condition.

Describe the Diagnostic Criteria for Generalized Anxiety Disorder

A. Excess anxiety and worry about a number of events for more days than not for at least 6 months.

B. Difficulty in controlling the worry.

C. Three or more specific symptoms.

-- 1. restlessness, keyed up, on edge

-- 2. easily fatigued

-- 3. difficulty concentrating or mind blank

-- 4. irritability

-- 5. muscle tension

-- 6. sleep disturbance

D. Anxiety and worry not confined to aspects of an Axis I disorder and not limited to PTS

D.

E. Impairment in social, occupational, or other important functioning.

F. Not due to a substance or a general medical condition. Not limited to Mood, Psychotic, or Pervasive Developmental Disorders.

Describe the Diagnostic Criteria for Histrionic Personality Disorder

Pattern of seeking attention and extreme emotionality as indicated by at least five of the following:

1. Uncomfortable if not the center of attention.

2. Acts provocatively or sexually seductively.

3. Shifting and shallow expression of emotions.

4. Attracts attention with physical appearance.

5. Uses impressionistic, undetailed speaking style.

6. Uses theatrical expressions of emotion.

7. Is unduly suggestible.

8. Perceives more intimacy in relationships than actually exists.

Describe the Diagnostic Criteria for Major Depressive Disorder, Recurrent

A. Presence of at least twoMajor Depressive Episodes.

B. The episode is not better accounted for by Schizoaffective Disorder, and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Describe the Diagnostic Criteria for Major Depressive Disorder, Single Episode

A. Presence of one Major Depressive Episode.

B. The episode is not better accounted for by Schizoaffective Disorder, and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

A. Purposeful creation or feigning of signs or symptoms (physical or psychological).

B. Assuming the sick role is the motivation.

C. External incentives are not present.

Name the Diagnostic Criteria for (General) Pain Disorder

A. Severe pain is paramount and calls for clinical attention.

B. Distress or impairment in social, occupational, or other important functioning.

C. Psychological factors play a key role in all aspects of the pain.

D. Symptom or deficit not faked or purposefully produced.

E. Neither Dyspareunia, nor any Mood, Anxiety, or Psychotic Disorder can explain the pain. Note: Pain Disorder alone is not a diagnosis.

Name the Diagnostic Criteria for a Panic Attack

Period of intense fear or discomfort with at least four of the following symptoms developed abruptly and peaked within 10 minutes: 1. Palpitations or accelerated heart rate 2. Sweating 3. Trembling 4. Shortness of breath 5. Sensation of choking 6. Chest pain 7. Nausea or abdominal upset 8. Feeling dizzy, lightheaded, or faint 9. Depersonalization or feelings of unreality 10. Fear of losing control 11. Fear of dying 12. Numbness or tingling (Paresthesias)1 13. Chills or hot flushes Note: Panic Attack alone is not a diagnosis.

Name the Diagnostic Criteria for Adjustment Disorder

Emotional or behavioral symptoms caused by identifiable stressor(s) within 3 months of the stressor onset. Either of the following: 1. Marked distress beyond expectations. 2. Significant impairment in social, occupational, or academic functioning. Not an exacerbation of preexisting Axis I or Axis II disorder. Not Bereavement.Symptoms disappear within 6 months of the end of the stressor. Note: Adjustment Disorder alone is not a diagnosis.

Name the Diagnostic Criteria for Agoraphobia

A. Anxiety about being in a location or situation: 1. from which it would be difficult or embarrassing to escape, or 2. where help may not be available in the event of unexpected Panic Attack or panic-like symptoms.

B. The person avoids the places or situations, or endures them with marked distress or anxiety, or the person requires a companion. Note: Agoraphobia alone is not a diagnosis.

Name the Diagnostic Criteria for Agoraphobia Without History of Panic Disorder

A. Agoraphobia connected to fear of developing panic-like symptoms.

B. Criteria not met for Panic Disorder.

C. Not caused by a substance or a general medical condition.

D. If a general medical condition is present, the fear noted in Item A clearly exceeds expectations for the condition.

Name the Diagnostic Criteria for Anorexia Nervosa

A. Refusal to maintain age- and height-appropriate body weight.

B. Although underweight, fear of putting on weight or becoming fat.

C. Disturbed by body weight or shape, allowing them to unduly affect self evaluation. Also denying seriousness of being underweight.

D. Amenorrhea, in post-menarcheal females.

Name the Diagnostic criteria for Bipolar I Disorder, Most Recent Episode Depressed

A. Major Depressive Episode is current or most recent.

B. At least one previous Manic Episode or Mixed Episode.

C. Episodes in A and B are not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Name the Diagnostic criteria for Bipolar I Disorder, Most Recent Episode Hypomanic

A. Hypomanic Episode is current or most recent.

B. A previous Manic or Mixed Episode.

C. Distress or impairment in social, occupational, or other important functioning.

D. Neither A nor B above are better accounted for by Schizoaffective Disorder. Neither are they not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Name the Diagnostic criteria for Bipolar I Disorder, Most Recent Episode Manic

A. Manic Episode is current or most recent.

B. At least one previous Major Depressive Episode, Manic Episode, or Mixed Episode.

C. Episodes in A and B are not better accounted for by Schizoaffective Disorder. Neither are they not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Name the Diagnostic Criteria for Bipolar I Disorder, Most Recent Episode Mixed

A. Mixed Episode is current or most recent.

B. At least one previous Major Depressive Episode, Manic Episode, or Mixed Episode.

C. Episodes in A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Name the Diagnostic criteria for Bipolar I Disorder, Most Recent Episode Unspecified

A. Other than duration, a Manic, Hypomanic, Mixed, or Major Depressive Episode is current or most recent.

B. At least one previous Manic Episode or Mixed Episode.

C. Distress or impairment in social, occupational, or other important functioning.

D. Symptoms in A and B above are not better accounted for by Schizoaffective Disorder. Neither are they superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

E. Symptoms in A and B are not due to a substance or a general medical condition.

Name the Diagnostic Criteria for Bipolar I Disorder, Single Manic Episode

A. One Manic Episode and no previous Major Depressive Episodes.

B. The episode is not better accounted for by Schizoaffective Disorder, and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Name the Diagnostic Criteria for Bipolar II Disorder

A. One or more Major Depressive Episodes.

B. At least one Hypomanic Episode.

C. Never a Manic or Mixed Episode.

D. Items A and B are not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

E. Distress or impairment in social, occupational, or other important functioning.

B. The disturbance is the direct consequence of a general medical condition.

C. Not exclusively during delirium.

Name the Diagnostic Criteria for Circadian Rhythm Sleep Disorder

A. Extreme sleepiness or insomnia caused by a mismatch between a person's sleep-wake schedule and circadian sleep-wake pattern.

B. Distress or impairment in social, occupational, or other important functioning.

C. Not solely during another Sleep Disorder or mental disorder.

D. Not caused by a substance or general medical condition.

Name the Diagnostic Criteria for Conversion Disorder

A. At least one voluntary motor or sensory function deficit.

B. Psychological factors are associated.

C. Symptom or deficit is not purposely faked or produced.

D. Symptom or deficit is not due to a general medical condition, a substance, or a culturally-approved behavior or experience.

E. Distress or impairment in social, occupational, or other important functioning, or calls for medical evaluation.

F. Symptom or deficit not restricted to pain or sexual dysfunction. Not occurring solely during Somatization Disorder.

Name the Diagnostic Criteria for Cyclothymic Disorder

A. Many periods over 2+ years with hypomanic symptoms as well as depressive symptoms (but not a Major Depressive Episode).

B. During the 2 year period, symptoms do not disappear for more than 2 months at a time.

C. No Major Depressive Episode, Manic Episode, or Mixed Episode appears during the first 2 years of the disturbance.

D. Symptoms not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

E. Not due to a substance or a general medical condition.

F. Distress or impairment in social, occupational, or other important functioning.

Name the Diagnostic Criteria for Depersonalization Disorder

A. Persistent or repeated feelings of being detached from one's self.

B. Reality testing is intact.

C. Distress or impairment in social, occupational, or other important functioning.

D. Not solely during another mental disorder. Also not due to a substance or a general medical condition.

Name the Diagnostic Criteria for Dissociative Amnesia

A. At least one instance, going beyond ordinary forgetfulness, of not recalling important personal information.

B. Not solely occurring during Dissociative Identity Disorder, Dissociative Fugue, Posttraumatic Stress Disorder, Acute Stress Disorder, or Somatization Disorder. Also not due to a substance or a neurological or a general medical condition.

C. Distress or impairment in social, occupational, or other important functioning.

Name the Diagnostic Criteria for Dissociative Fugue

A. Unexpected travel from home or work with inability to recall personal history.

B. Confused about his or her identity or assumption of a new identity.

C. Not solely during Dissociative Identity Disorder. Also not due to a substance or a general medical condition.

D. Distress or impairment in social, occupational, or other important functioning.

Name the Diagnostic Criteria for Dissociative Identity Disorder

A. At least two distinct identities or personalities.

B. At least two of these identities or personalities repeatedly assume control of the person's behavior.

C. Can not remember, to an extent beyond ordinary forgetfulness, important personal information.

D. Not due to a substance or a general medical condition

Name the Diagnostic Criteria for Dyspareunia

A. Genital pain related to sexual intercourse in a male or a female.

B. Marked distress or interpersonal difficulty.

C. Not solely due to Vaginismus or lack of lubrication. Also not due to a substance or a general medical condition.

Name the Diagnostic Criteria for Exhibitionism

A. For at least 6 months: sexual fantasies, urges, or behaviors that involve exposing one's genitals to a stranger.

B. Distress or impairment in social, occupational, or other important functioning

Name the Diagnostic Criteria for Factitious Disorder With Combined Psychological and Physical Signs and Symptoms

A. Both of the following: 1. Recurrent and unexpected Panic Attacks. 2. One or more of these symptoms follows the attacks for at least 1 month: 1. persistent concern about more attacks 2. worry about implications or consequences of the attack 3. significant change in behavior resulting from the attacks

B. Agoraphobia is present.

C. Neither a substance nor a general medical condition accounts for the Panic Attacks.

Name the Diagnostic Criteria for Panic Disorder Without Agoraphobia

A. Both of the following: 1. Recurrent and unexpected Panic Attacks. 2. One or more of these symptoms follows the attacks for at least 1 month: 1. persistent concern about more attacks 2. worry about implications or consequences of the attack 3. significant change in behavior resulting from the attacks

B. No Agoraphobia is present.

C. Neither a substance nor a general medical condition accounts for the Panic Attacks.

B. Not solely during Schizophrenia, a Mood Disorder With Psychotic Features, or another Psychotic Disorder. Not due to a general medical condition.

Name the Diagnostic Criteria for Pathological Gambling

A. Involves at least five of the following: 1. Preoccupation with gambling. 2. Using larger amounts of money. 3. Repeated attempts to cut back or stop. 4. Irritable when trying to cut back or stop. 5. Gambles to escape problems or to relieve a dysphoric mood. 6. Keeps gambling even after losing. 7. Lies to conceal the gambling. 8. Commits illegal acts to obtain funds. 9. A significant relationship, job, or career opportunity is lost or jeopardized. 10. Turns to others for relief money.

B. Distress or impairment in social, occupational, or other important functioning.

C. The prepubescent child is at least 5 years younger than the pedophilic person, who is at least 16 years old.

Name the Diagnostic Criteria for Personality Change Due to a General Medical Condition

A. Persistent personality disturbance that differs from a previous personality.

B. Results from a general medical condition.

C. Not solely during delirium.

D. Distress or impairment in social, occupational, or other important functioning.

Name the Diagnostic Criteria for Posttraumatic Stress Disorder

A. The individual experiences a traumatic event that includes both: 1. Participating, witnessing, or confronting an event that involves actual or threatened death or serious injury. 2. Intense fear, helplessness, or horror.

B. The individual persistently reexperiences the traumatic event in at least one way.

C. The individual persistently avoids stimuli associated with the trauma and experiences numbing of general responsiveness in at least three ways.

D. The person experiences persistent symptoms of increased arousal in at least two ways.

E. The symptoms in Items B, C, and D last more than 1 month.

F. Impairment in important functioning.

Name the Diagnostic Criteria for Premature Ejaculation

A. Ejaculation before, on, or shortly after entry and before desired.

B. Marked distress or interpersonal difficulty.

C. Not due to a substance.

Name the Diagnostic Criteria for Primary Hypersomnia

A. For at least 1 month, excessive sleepiness manifested by either daytime sleep or long sleep episodes.

B. Distress or impairment in social, occupational, or other important functioning.

C. Not insomnia, or insufficient sleep, or solely during another Sleep Disorder.

D. Not solely during another mental disorder.

E. Not caused by a substance or a general medical condition.

Name the Diagnostic Criteria for Primary Insomnia

A. Problems for at least 1 month getting to or staying asleep, or not feeling rested after sleep.

B. Distress or impairment in social, occupational, or other important functioning.

E. Distress or impairment in social, occupational, or other important functioning.

Name the Diagnostic Criteria for Sleep Terror Disorder

A. Recurrent sudden awakenings with a scream.

B. Both extreme fear and autonomic arousal.

C. Not responsive to comforting efforts by others.

D. Episodic amnesia and no detailed dream recall.

E. Distress or impairment in social, occupational, or other important functioning.

F. Not caused by a substance or a general medical condition.

Name the Diagnostic Criteria for Sleepwalking Disorder

A. Recurring episodes of getting out of bed and walking around during sleep.

B. Blank face and stare, does not respond to the communications of others, and is difficult to wake up.

C. Episodic amnesia on awakening.

D. Behavior and mental activity are unimpaired within a few minutes of awakening.

E. Distress or impairment in social, occupational, or other important functioning.

F. Not caused by a substance or a general medical condition.

Name the Diagnostic Criteria for Social Phobia

A. Marked and persistent fear of situations involving unfamiliar people or scrutiny by others, with a fear of humiliation or embarrassment.

B. The feared social situation causes anxiety.

C. The individual realizes that the fear is extreme.

D. The feared social or performance situations are either endured with intense anxiety, or avoided.

E. Phobic response interferes with the person's normal routine, activities, functioning, or relationships, or there is distress.

F. If the person is under age 18 years, the disorder last 6 months or more.

G. Not due to a general medical condition or a substance.

H. The fear in Item A is not related to a general medical condition or other mental disorder.

Name the Diagnostic Criteria for Somatization Disorder

A. Frequent physical complaints before age 30 that either lead to treatment being sought or notable impairment in functioning.

B. History of each of the following: 1. Four pain symptoms. 2. Two gastrointestinal symptoms. 3. One sexual symptom. 4. One pseudo-neurological symptom.

C. Either of the following: 1. Symptoms in "B" are not explained by a general medical condition or a substance. 2. When a general medical condition does exist, the complaints or impairment are beyond expectations.

D. Symptoms are not faked or purposefully produce'

Name the Diagnostic Criteria for Specific Phobia

A. Existence or anticipation of specific objects or situations triggers excessive fear that is both marked and persistent.

B. Exposure to the object or situation causes an anxiety response.

C. The individual realizes that the fear is unreasonable.

D. The object or situation is either endured with intense anxiety or distress or avoided.

B. The dysfunction is explained by substance use by either of the following: 1. The symptoms in Item A developed during or within a month of Substance Intoxication. 2. Medication use relates to the disturbance.

C. Not explained by a Sexual Dysfunction that is not substance induced.

B. Evidence of either: 1. Development of symptoms during or within a month of Substance Intoxication or Withdrawal, or 2. Medication relates to the sleep disturbance.

C. Not a non-substance-induced Sleep Disorder.

D. Not solely during delirium.

E. Distress or impairment in social, occupational, or other important functioning.

Name the Diagnostic Criteria for Transvestic Fetishism

A. For at least 6 months: sexual fantasies, urges, or behaviors by a heterosexual male that involve cross-dressing.

B. Distress or impairment in social, occupational, or other important functioning.

Name the Diagnostic Criteria for Trichotillomania

A. Noticeable hair loss from repeated pulling out of one's hair.

B. Becoming more tense just prior to pulling out hair or trying to resist the behavior.

C. Pleasure or relief at pulling out hair.

D. Not due to a general medical condition or to another mental disorder.

E. Distress or impairment in social, occupational, or other important functioning.

Name the Diagnostic Criteria for Undifferentiated Somatoform Disorder

'A. At least one physical complaint.

B. Either of the following: 1. Symptoms in "A" are not explained by a general medical condition or a substance. 2. When a general medical condition does exist, the complaints or impairment are beyond expectations.

C. Distress or impairment in social, occupational, or other important functioning.

D. The disturbance lasts at least 6 months.

E. Symptoms are not faked or purposefully produced'

Name the Diagnostic Criteria for Vaginismus

A. Spasms in the outer third of the vagina that interferes with sexual intercourse.

B. Marked distress or interpersonal difficulty.

C. Not due to a medical condition.

Name the Diagnostic Criteria for Voyeurism

A. For at least 6 months: sexual fantasies, urges, or behaviors that involve observing a person who is unclothed, disrobing, or having sex.

B. Distress or impairment in social, occupational, or other important functioning.

Pica Rumination Disorder Feeding Disorder of Infancy or Early Childhood

Name the General Diagnostic Criteria for a Personality Disorder

A. Pattern of inner behavior and experience that distinctly deviates from cultural expectations in at least two of the following ways: 1. Cognition. 2. Affectivity. 3. Interpersonal functioning. 4. Impulse control.

B. The pattern is inflexible and pervasive.

C. Distress or impairment in social, occupational, or other important functioning.

D. The pattern began in adolescence or early adulthood and is both stable and enduring.

At least three of the following symptoms, experienced for more days than not during the preceding 6 months: 1. Restlessness. 2. Fatigue. 3. Problems with concentration. 4. Irritability. 5. Muscle tension. 6. Sleep disturbance.